Shawn Lee Grucella, CPHT

NPI #1144994088 in Kalkaska, Michigan

Provider Information

NPI Number: 1144994088
Entity Type: Individual
Name: Shawn Lee Grucella, CPHT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacy Technician
Credential: CPHT
Enumeration Date: Aug 4, 2021
Last Updated: Aug 4, 2021

Practice Location

Address: 902 N CEDAR ST
City: Kalkaska
State: Michigan
ZIP Code: 49646-8061
Phone: (231) 258-2081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X	Primary

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